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High-risk EBV promotes immune evasion in nasopharyngeal carcinoma by upregulating HLA-DP via the encoded BALF2-HR variant - PubMed

6 hours ago
  • #EBV
  • #Nasopharyngeal Carcinoma
  • #Immune Evasion
  • High-risk Epstein-Barr virus (EBV) variant BALF2-HR upregulates HLA class II molecules, particularly HLA-DP, in nasopharyngeal carcinoma (NPC).
  • Upregulated HLA-DP interacts with LAG-3 on CD8+ T cells, causing T cell exhaustion, inhibiting cytokine secretion, and promoting immune evasion, reducing anti-PD-1 therapy efficacy.
  • BALF2-HR enhances HLA-DP transcription by binding to KPNA2 and facilitating nuclear translocation of CIITA.
  • Combination immunotherapy using anti-LAG-3 and anti-PD-1 antibodies significantly improves NPC treatment outcomes.